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DOI: 10.1055/a-2306-6649
Die präventive Flexionsosteotomie am Tibiakopf
The preventive flexion osteotomy at the head of the tibia![](https://www.thieme-connect.de/media/sport/EFirst/lookinside/thumbnails/10-1055-a-2306-6649-1.jpg)
Zusammenfassung
Die folgende Falldarstellung berichtet über eine präventive Tibiakopf-Flexionsosteotomie bei einem jugendlichen Patienten, bei welchem ein erniedrigter posteriorer Slope des Tibiakopfes vorlag. Der Patient zeigte sich zu diesem Zeitpunkt symptomfrei und ohne Instabilität. MR-tomografisch zeigte sich jedoch eine ausgeprägte Veränderung des hinteren Kreuzbandes, was als Indikation zur Osteotomie interpretiert wurde. Die OP-Technik und das postoperative Resultat werden dargestellt. Das postoperative MRT zeigt eine Reorganisation des hinteren Kreuzbandes in eine physiologische Konfiguration.
Abstract
We present the case of a preventive tibial plateau flexion osteotomy in an adolescent patient who had a reduced posterior slope of the tibial plateau. The patient was asymptomatic and without instability at the time. However, magnetic resonance imaging (MRI) showed a dysmorphic posterior cruciate ligament, which was interpreted as an indication for osteotomy. This article demonstrates the surgical technique and postoperative outcome. The postoperative MRI shows a reorganization of the posterior cruciate ligament into a physiological ligament appearance.
Publication History
Received: 26 February 2023
Accepted after revision: 15 April 2024
Article published online:
31 July 2024
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